Professional Documents
Culture Documents
Wigglesworth Hospital Advanced Trust (WHAT) has defined a programme of work to transform the
implementation of low cost high patient benefit digital solutions that improve the efficiency,
effectiveness of health activities and critically improve patient health and wellbeing outcomes.
b) Efficiency, Effectiveness and Patient Service Quality
Show 25% measurable improvements in the efficiency, effectiveness and quality of patient
interventions and care through the use of disruptive and advanced digital technology
c) Productive and Cost Effective Digital Products and Services
WHAT wants to have working examples of digital solutions that provide improvements in tracking,
monitoring and control that support measurable improvements in clinical productivity and have
working digital products and services.
They have engaged Semicon Digital Leadership Consulting to help them develop their digital
leadership strategy and operations and help WHAT select appropriate digital leaders.
and how he has led the team. So any decisions must be made on the basis of analysis of documents,
deliverables and views from his team. He is also keen to use the analysis gathered, but needs advice
from an expert with digital leadership theory you!
Applying Your Digital Leadership Knowledge and Frameworks
Andrew would lik
your digital leadership knowledge. from Henley Business school to answer each of six questions.
YOUR TASK
and digital leadership best practice
you are required to write in a maximum of 5000 words in total for these 6 answers, although more
information can be included in the appendix for reference.
You are expected to include relevant models and theories form the course and your wider reading
about the subject and references to any information and documents in the attachments to support your
analysis. You should also state any assumptions you make. If you need to make calculations, you can
show the detail in an appendix
(1) Email
To: Andrew.boss@semicon.com
Title: Your WHAT Digital Leadership Project
From:Serge.Varadkar@semicon.com
Dear Andrew
You will like this project; the people seem straight out of the Digital Leadership course that Semicon
people oriented leader and she suggested I am a bit of a bully yet I manage to get the work done on
time and budget! With people like Sandra I have to bully them as they have no ideas of their own.
Anyway I have had enough of such comments and I am leaving to join Barnier Consulting in France.
I have included various notes from myself to help you continue the work at the hospital and my team
has prepared all the interview and strategy notes for the analysis stage of the Digital Leadership
engagement.
You should know that the team was working out how they want to work together when I joined them
and I had to exert my authority to keep them in line. They then started to demand various training and
courses. They even tried to tell me how to run the team. Lots of ideas, but no leader and so it is good I
came along with my experience of European projects.
I am sad to leave this project as I enjoy getting projects completed and meeting the mission targets and
off course the bonus. But then Semicon were not prepared to give me a pay rise or pay more for my
expertise. I asked for a bonus upfront for this work
my bonus until they saw the deliverables.
By the way, I had to let Bill Berk go, so he is working his notice. Bill was whining about the fact that
we need to consider the cultural issues in managing our Indian offshore team. Then he came up with
new ideas and kept producing reports with references to theories about how digital technology could
be used in hospitals. Just like his friend on the Indian team who supposedly knew all about disruptive
tech. I am sure they were working together to undermine me. So I restricted the virtual team meetings
with India. I am really annoyed about the time he spent trying to understand them and working with
them behind my back. The Indian team were late in their deliverables and were always promising
Serge took over the consulting team 4 months ago. Apparently he had refused at first but was
persuaded by a pay rise. He was never really interested in us as people, only in getting the tasks done
so he could get his bonus. A number of us asked for training in digital technologies so we could better
advise clients, but he refused it as it would eat into his project budget and possibly affect his bonus.
We had to do our best. This meant that some team members did their own thing and focused on doing
their own job. We were never a close knit team. Serge had arranged to outsource some of the work to
the Indian offshore team as they were cheaper and I think he could control them better. He used to use
his seniority and shout down the phone to them. At video meetings they would try and suggest better
ways to support the WHAT project as one of the Indian team had an MBA and an electronic
engineering degree and had worked on medical devices. I think Serge felt threatened by this. He never
really gave us or the Indian team clear objectives and he often blamed the Indian offshore team if
things went wrong and refused to pay their bonus from his budget. One of our team, Bill Berk, tried to
and after Serge had arrived and we started to have problems he had insisted we complete Belbin team
role surveys to help ensure we had a cohesive team. It showed that Bill himself was a plant and shaper
and very valuable to the team. The results for Serge showed him to be a Chairman not surprising as
he was very autocratic and refused to use the results. Many of the rest of us were team players and
completer finishers and just wanted guidance on what to do, Serge ignores people that challenge him
and is keen to get results and move to another part of the business. Serge did not like Bill as he said he
had too many ideas and no respect for authority. Serge eventually forced Bill to leave.
The following notes should be analysed as the basis for your answer:
The consulting team have recorded the following notes from interviewing a number of WHAT
clinicians about their views of what digital technology they would like to support the WHAT strategy
The Cardiology department at Wigglesworth Hospital Acute Trust (WHAT) is one of the medical areas
that is key to the 2025 Intelligence for Health Initiatives and has been selected for the focus of
consultancy analysis projects.
Using the information given below and an appropriate capability modelling method and modelling
tool, identify the digital strategy, scenarios and future capability models at level 1 down to level 3/4
and conduct a critical comparison with the current state level 1 capabilities to define the new target
level 2,3 and 4 capabilities, technologies and resources required. Illustrate your solution with
appropriate diagrams related to the method and references. Also identify new processes and
competences and comment on any limitations of information and assumptions made.
Cardiology Processes
There are a number of existing or baseline processes:
Book patients a process for making and managing appointments for cardiology patients to
have initial and follow up consultations at the hospital
Capture Echo Cardiograms here the physiologist attaches the echo cardiogram machine to a
patient and perform heart tests and their results
Assess Heart Condition involves a cardiologist identifying patterns from the physiology data
Diagnose Heart Condition the cardiologist identifies the heart problem
Plan Treatment the cardiologist plans the treatment based on the heart problem
Cardiology People
The current staff comprise:
admin staff with competences in booking
cardiologists with competences in cardiology
physiologists with competences in physiology
The Cardiology department has an aim to move towards 24x7 data and use technology to reduce
workload to support the overall aim of better decision making and improve patient safety and care
quality as part of the 2025 strategy plan.
Cardiology Capability
Firstly a level 2 target capability is needed to provide Automated Support for Decision Making for the
cardiologist function. Existing skilled clinicians should be trained to use new wearable IoT and related
devices and programs to make their work faster and safer than using paper. This capability would
include level 3 capabilities i) to Allocate Devices to Patients (the wearable IoT 24x7 cardiology data
collection devices for measuring the heart function of high risk patients as well as the existing non IOT
echo cardiogram devices and new apps to convert patient device data (e.g. fitbit) ii) to Review
Department Data Sources (to include the data from the new wearable IOT devices and existing echo
cardiogram machines) and iii) Review Patient Data Sources (i.e. data from patient devices such as
Fitbits as well as their interview notes), iv) to Triage Patients in order of priority of who should be
my triage
customised for specific triage automation.
New 24x7 cardio IOT based monitoring devices were needed to enable patients with worrying
symptoms to be monitored and the data sent automatically to the department and to be assessed by a
new capability to record and process Cardio Monitor readings. To reduce patient demand it was
agreed a new web platform should be created to contain advice and information on heart wellbeing
and to enable patients to send in their Fitbit data to be assessed and added to their clinical record.
This would be supported by a new capability to Record and process Cardio Monitor readings.
Patients should be able to bring/send their own approved device data to support decisions 20
Wearable and automated data collection technology is required -22
Need to purchase and allocate new wearable IoT devices to urgent patients -14
Need to purchase cardio machine software -11
Need capability to triage patients -15
24x7 digital cardio data needed (from new IoT devices) 18
Need new digital technicians and device training for clinician -17
An automated process for data collection is needed -22
Need to collect and integrate cardio data from patient Fitbit etc with clinician and
device/machine data -16
Cardiology Technology and Resource Wish List
The Cardiology department were very interested in acquiring at least ten wearable IOT heart monitors
that could be given to new high risk patients. These devices would transmit cardiology data from each
patient 24x7 over a 1 week period to be assessed by new Cardiology Software that would provide
support for the Cardiologists to identify specific heart problems and diseases.
Cardiology: Other Target Apps
The department will need to purchase new applications to support the improved decision making:
to collect and process patient device (e.g. fitbit) data
Cardio advisor platform and website to support Physiology
Advice Integrator app and data base to integrate advice and information
Cardiology Current Capabilities
Work done by the consultancy previously had identified the following level 1 current capabilities
(unless identified)
The strategic capabilities of the department are within the Cardiology Management function and
involve Strategy Management for the department, Admission Planning Policy and Long Term Resource
Planning that included professional staff and technology, equipment and consumables budgeting. The
operational capabilities included Booking Patients to the department surgeries (within the Patient
Admin Function). In the Physiologist function there is a capability to Capture Echocardiograms of
patients. The Cardiologist function includes capabilities for the Assessment of Heart Conditions (by
reviewing data from the equipment) and then Diagnosing Heart Conditions and Planning Cardiology
Treatment. The department support capabilities are divided into two functions the Cardio IT Function
includes capabilities for Cardio IT Development and IT support for cardiology devices and systems. A
second function covers an Admin Management capability which organised the administrators and
Finance Management which managed purchases and payments for the department.
One of the consultants worked with the cardiology department and mapped the baseline or current
capabilities and resources as below
Based on the information below and appropriate models/references explain what you think the level of
digital maturity is with reference to its digital strategy and what type of digital strategy formation
WHAT is following.
headed by Dr April Truscot the Chief Medical Officer or CEO at Wigglesworth Hospital Advanced
Trust (WHAT) when asked as series of questions below:
implementation of low cost high patient benefit digital solutions that improve the efficiency,
effectiveness of health activities and critically improve patient health and wellbeing outcomes.
b) Efficiency, Effectiveness and Patient Service Quality
Show 25% measurable improvements in the efficiency, effectiveness and quality of patient
interventions and care through the use of disruptive and advanced digital technology
c) Productive and Cost Effective Digital Products and Services
WHAT wants to have working examples of digital solutions that provide improvements in tracking,
monitoring and control that support measurable improvements in clinical productivity and have
working digital products and services.
We want to see controlled development of digital with clear budgets and accountability and a
reduction in the number and type of projects we invest in to those that are viable. But we need to define
what digital means to us and concentrate our efforts of digital change that yields the best results and
not comfort ourselves with far too many initiatives that may not get us to digital maturity. We are
concerned to cut costs and workload and make it easier for patients to stay well or recover faster and
more easily from medical intervention through the use of digital products and services
ii) What have you done to transform your strategy to digital?
We have moved on from just trying to tinker with processes or throwing digital or information systems
solutions at discrete problems. We now want to focus on development of specific disruptive technology
projects. We want to develop a clear and controlled transformation strategy that will get us to digital
by 2025. We will appoint a new digital leader to do this. Their job will be to develop the new digital
products and services to support the strategy to cut costs become more efficient and improve patient
service.
have both the vision and the pragmatism to operationally lead the development of new medical digital
product and services But we also feel other digital leaders must be encouraged throughout the
hospital, from innovative ideas from admin to skilled clinician projects
Wigglesworth have identified that they need a Digital Leader that is good at awareness building, but
has sufficient in depth knowledge to manage the operational digital leadership necessary for the
promotion, selection and implementation of innovative digital solutions and products for the hospital
Using appropriate the digital/e-leadership competencies and, appropriate theory e.g. Wilson, critically
discuss and explain who should be selected and why from the three candidates proposed for Digital
Leaders; Dr David Beatty, Dr John Jellicoe and Dr Reinhardt Scheer, using the information below
Semicon Consultants have interviewed all three candidates and have made the following notes:
Candidate for Wigglesworth Hospital Digital Leader: Interview Notes
Intellectual Traits
David Beatty
David likes to play with ideas and to sound new ideas out with others and is flexible and adaptable to
changing them. He likes discovering new patterns and problem solving and is keen to investigate
different phenomena. David keenly reads about new digital technologies and collects new digital ideas.
He has always experimented with new technologies and sees himself as a body and technology
engineer keen to borrow techniques and methods from all the sciences, engineering and social methods
if it enables a digital solution that works for his patients
John Jellicoe
John believes in order and control and is keen to promote sound intellectual ideas that are well
proven, but hesitates with new ideas until they have been well tested. He is curious about patterns that
don't fit in with his expectations. But John remains to be convinced of the many digital 'silver bullets'
and prefers coherent and well explained digital practices. John uses digital widely for administration
and sees the benefit of clear digital order, sound databases and a version of the truth of clinical
activities
Rheinhardt Scheer Notes
Reinhardt sticks to his ideas but is not afraid to adapt them. He acknowledges that he prefers subjects
he knows well but is happy to read about new discoveries but not to adopt them until he knows how
they work. Reinhardt likes to plan the use of new technology carefully, but when he is personally
involved in a project he can often see new ways of adjusting the technology
Despite my qualifications I have a limited deep knowledge of only a few technologies. I am not into
John Jellicoe
admit I don't know it all, but as a manager I must find out. I find a lot of what I need to know about
technology through my
Rheinhardt Scheer
how
specific digital technologies work. If I don't know it and it is important, then I search for it. I use both
have built up people and equipment to make digital happen in a number of companies I have worked
for. I see myself as more of a visionary digital leader than an operational one. I am keen to push the
social and societal aspects of digital and give talks at learned societies on this. I also ensure my teams
include engag
Rheinhardt Scheer
al part of
making leadership work. Operational planning is very important and I like to find someone who has
deep digital knowledge to lead at that level. I include the social aspects of digital in my planning and I
seem digital as part of the social fabri
Q6 Recommendations 10%
Based on your analysis, recommend appropriate summary digital leadership actions for Andrew
present to Dr Truscot over the next few months